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Updated: Oct 7, 2025

The Modified Single-working Portal Technique Using Lasso-loop Stitch with Needle for Arthroscopic Subscapularis Repair
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Single-Portal Arthroscopic Posterior Shoulder Stabilization.

Juho Park1, Joo Yeon Kim1, David Kim1

  • 1Advanced Orthopaedics and Sports Medicine, San Francisco, California, U.S.A.

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|January 10, 2022
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Summary

Posterior shoulder instability can be effectively treated using a minimally invasive arthroscopic technique. This single-portal approach reduces invasiveness and operative time for posterior labral repair.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Arthroscopy

Background:

  • Posterior shoulder instability results from posterior labral detachment, often due to trauma.
  • Traditional open shoulder stabilization is being replaced by arthroscopic methods due to reduced invasiveness.
  • Arthroscopic posterior labral stabilization typically uses two portals.

Purpose of the Study:

  • To describe a novel arthroscopic posterior stabilization technique.
  • To present a single-portal approach for arthroscopic posterior labral repair.

Main Methods:

  • Arthroscopic posterior glenoid labral stabilization using a single posterior working portal.
  • Utilized a suture passer for the repair.
  • Minimized portals to reduce invasiveness and operative time.

Main Results:

  • Successful arthroscopic posterior stabilization achieved with a single portal.
  • Reduced invasiveness compared to standard two-portal techniques.
  • Potential for decreased operative time, nerve damage risk, and postoperative pain.

Conclusions:

  • A single-portal arthroscopic technique is a viable and effective option for posterior shoulder instability.
  • This approach offers advantages in terms of patient recovery and surgical efficiency.
  • Further investigation into the long-term outcomes of this technique is warranted.